Correspondence Address:
Kamal KumarSchulich School of Medicine, University of Western Ontario, London Ontario Canada

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/0970-9185.117105

During labor and child delivery, a wide range of drugs are administered. Most of these medications are high-alert medications, which can cause significant harm to the patient due to its inadvertent use. Errors could be caused due to unfamiliarity with safe dosage ranges, confusion between similar looking drugs, mislabeling of drugs, equipment misuse, or malfunction and communication errors. We report a case of inadvertent infusion of a large dose of magnesium sulphate in a pregnant woman.